| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ANNITA WILSON | 1083207757 | 2021-02-14 |
Annita Wilson is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1083207757. Registration indicates Annita Wilson is a provider of services with a specialization in Pharmacy Service Providers, Pharmacist (Pharmacist, ) (Pharmacist, Pharmacy Service Providers)
| Entity Type | Individual |
| Provider Name | Mrs. Annita Wilson R.PH. |
| Other Provider Name | Miss Annita Oliver |
| Practice Office Address | 36195 EUCLID AVE WILLOUGHBY, OH US |
| Practice Office Telephone | 4409751983 |
| Practice Office Fax | 4405207148 |
| Mailing Address | 295 E 244TH ST EUCLID, OH 441231432 US |
| Business Telephone | 2163943464 |
| Code | Practice | License No State |
|---|---|---|
| 183500000X PRIMARY | Pharmacy Service Providers Pharmacist Pharmacist Pharmacist Pharmacy Service Providers | 03223058
OH |